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Organization

HOUSTON KETAMINE SPECIALISTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL FOSTER DO (MEDICAL DIRECTOR)
(303) 818-8137
Entity
Organization

Contact information

Practice address
2510 S LOOP 336 W STE 115, CONROE, TX 77304-3737
(936) 362-3319
(936) 362-3319
Mailing address
409 W JOHANNA ST, AUSTIN, TX 78704-4235
(303) 818-8137
(936) 362-3319

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QI0500X
Infusion Therapy Clinic/Center
Primary

Other

Enumeration date
09/06/2021
Last updated
09/06/2021
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